Provider Demographics
NPI:1548013972
Name:NEW FOREST COUNSELING AND PLAY THERAPY, LLC
Entity type:Organization
Organization Name:NEW FOREST COUNSELING AND PLAY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:HECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, RPT
Authorized Official - Phone:715-201-4215
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-0031
Mailing Address - Country:US
Mailing Address - Phone:715-201-4215
Mailing Address - Fax:
Practice Address - Street 1:504 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54022-2235
Practice Address - Country:US
Practice Address - Phone:715-201-4215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)